Active NPI
Corbin Miller
- Chiropractor
- Madison, WI
National Provider Identifier
1073215562
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 6052-12
- Practice address
- 4535 Helgesen Dr
Madison, WI 53718-6747 - Phone
- (608) 441-0888
- NPI assigned
- Mar 20, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 6052-12 | WI | Primary |
Addresses
Primary practice location
4535 Helgesen Dr
Madison, WI 53718-6747
Mailing address
822 E Washington Ave Apt 510
Madison, WI 53703-6503
Phone (402) 201-5709
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Chiropractic
- Education
- Logan College of Chiropractic, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
40 E Montgomery Ave
Ardmore, PA 19003-2421
Phone (484) 393-7158
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6052-12 | WI | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Life Clinic of PA PC | Chiropractor | Current | Accepting new patients |
Locations
40 E Montgomery Ave
Ardmore, PA 19003
Phone (484) 393-7158
700 E Swedesford Rd
Wayne, PA 19087
Phone (484) 254-7024
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Chiropractor
- Wayne, PA
- NPI 1396234076
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1679270400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1679270400000",
"number": "1073215562",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "822 E WASHINGTON AVE APT 510",
"city": "MADISON",
"state": "WI",
"postal_code": "537036503",
"telephone_number": "402-201-5709"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4535 HELGESEN DR",
"city": "MADISON",
"state": "WI",
"postal_code": "537186747",
"telephone_number": "608-441-0888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MILLER",
"first_name": "CORBIN",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-03-20",
"last_updated": "2023-03-20",
"certification_date": "2023-03-20",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "WI",
"license": "6052-12",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.